CPU Reg Form 49 Rev 3 (January 2022)

CENTRAL PHILIPPINE UNIVERSITY

Iloilo City, Philippines

COLLEGIATE APPLICATION FOR GRADUATION

Instructions:

1. Fill out two (2) copies of the application form clearly in print. (one for the Registrar, one for the Dean).
2. Indicate all necessary information.
3. Cross-enrolment should be indicated in the subject assignments. If currently with cross-enrolment, a certificate of enrolment from
said school should be attached to the Registrar’s Copy. Likewise, a certification of grades from previous cross-enrolment should
be attached.
4. Notify in writing the Registrar through the Dean if changes in subject assignments after application has been filed. This should
be done not later than two (2) days after the change. Attach a photocopy of your New Enrolment Record and approved overload letter
when necessary.
ID Number: 20-1628-14
PERSONAL RECORDS

NAME F_U_ND_A_L R_HE_I_A_N P_AU_L PA_R_RE_Ñ_AS SEX M F_I_L_I_P_I_N_

CITIZENSHIP
Family Name First Name Middle Name O
DATE OF BIRTH J_U_N_E 1_7_,_2_0_0_1 PLACE OF BIRTH (TOWN) I_L_OILO_CITY
PARENT: Father’s Name F_UN_DA_L_,_AR_NE_L_F. Mother’s Maiden Name _P_AR_RE_Ñ_AS_,
_R_HE_A B_. PERMANENT ADDRESS _P_OB_L_AC_I_O_N I_L_A_YA_,_DU_MA_RA_O, _C_A_PIZ
PRESENT ADDRESS _-_d_o_-
CELLPHONE NO._0_9_6_8_6_6_5_5_48_2 LANDLINE NO. N_/_A CPU EMAIL ADDRESS
_rh_e_i_a_n_p_a _u _l._fu_n_d_a_l_-2_0_@c_p_u_.e_d_u_._ph
PRELIMINARY EDUCATION
SCHOOL SCHOOL YEAR GRADUATED
KINDERGARTEN _I_MMA_C_UL_AT_E_HE_AR_T O_F M_AR_Y AY 2007-2008
ELEMENTARY AS_S_U_MP_T_I_O_N P_AS_S_I_CITY AY 2013-2014

JUNIOR HIGH SCHOOL A_S_S_UMP_T_I_O_N P_A_ S S_I _C_I_T_Y AY 2017-2018

SENIOR HIGH SCHOOL A_S_S_UM_PT_ION P_A_SS_I _C_I_T_Y AY 2019-2020
COLLEGIATE C_EN_T_RA_L P_H_I_L_I_P_P_I_N_E U_NI_V_E_RS_ITY AY 2023-2024
DEGREE/TITLE _BA_CH_E_L_OR O_F S_C_I_E_NC_E IN E_NT_R_EP_R_E_NE_U_RS_H_I_P MAJOR
N/A
Check if candidate for LOYALTY AWARD (have not transferred/attended any school since Kinder to College/
Elementary to Post Graduate except CPU )

SUBJECTS ASSIGNED ON TERM GRADUATING S_E_C_ON_D S_EM_ES_T_E_R 2023-2024

Semester / Summer School Year

COURSE NO. DESCRIPTIVE TITLE CREDITS

1. E_n_t_4_2_0_0 _BU_S_I_N_ES_S_PL_A_N I_MP_L_E_ME_NT_A_T_I_ON II 5
2. B_u_s_4_1_0_6 INT_E_RN_A_TION_AL_BU_S_I_N_ES_S_AN_D T_RA_DE 3

3. 8

4.
5.
6.
7.
8.
9.
10.

This is to certify that all information stated above are true and correct based on authentic records.

0_1_-_1_2_-2_0_2_4
Date Student’s Signature

The above subject assignments and information are verified and certified correct; the application for graduation is
forwarded to the Registrar for processing.
Chairman’s Signature over Printed Name/Date Dean’s Signature over Printed Name/Date